Experiencing discomfort or sensitivity after a dental crown procedure is common. This is a normal part of the healing process as the tooth and surrounding tissues adjust to the new restoration. Understanding what to expect can help manage concerns.
Typical Timeline for Discomfort
Minor sensitivity after dental crown placement typically resolves within a few days to a couple of weeks. Initial discomfort often diminishes within a few days, with full adjustment and resolution of sensitivity occurring within one month. If pain persists beyond two weeks, it is advisable to consult a dentist.
The duration of discomfort can vary depending on the procedure. If a root canal was performed before the crown, the tooth should not have a nerve, potentially reducing post-operative sensitivity. If the tooth still contains nerves, temporary irritation from crown preparation can lead to sensations that gradually subside as the tooth and surrounding tissues heal.
Common Reasons for Post-Crown Pain
Several factors can contribute to pain or sensitivity after a crown. Temporary nerve irritation from the procedure itself is a common cause, as the tooth may be traumatized during preparation. This can manifest as sensitivity to temperature changes or pressure.
An ill-fitting crown can also lead to discomfort, especially if it affects the bite. If the crown is too high, it can cause pain when biting down, jaw pain, or headaches. Inflammation of the gum tissue around the crown can result from irritation by dental cement or the crown’s margins.
Underlying issues with the tooth or nerve can also cause pain. These include tooth decay developing under the crown, or an infection from a traumatized nerve or bacteria leaking from old fillings. Gum recession, which exposes the tooth’s root, can also lead to increased sensitivity and pain.
Managing Discomfort at Home
For mild post-crown discomfort, several measures can provide temporary relief. Over-the-counter pain relievers such as ibuprofen or acetaminophen are often effective in reducing pain and inflammation. It is advisable to take these medications according to package instructions.
Dietary adjustments can also help minimize irritation. Opting for soft, easy-to-chew foods like yogurt, mashed potatoes, and soups can prevent undue pressure on the new crown. Avoiding very hot or cold foods and drinks, as well as acidic or sugary items, can help prevent exacerbating sensitivity. Chewing on the opposite side of the mouth can also provide relief.
Maintaining good oral hygiene is also important. Using a soft-bristled toothbrush and gently brushing around the crown and gumline helps prevent plaque buildup and irritation. Rinsing with a warm saltwater solution several times a day can help soothe inflamed gum tissue and reduce swelling.
When to Contact Your Dentist
While some initial discomfort is expected, certain signs and symptoms warrant contacting your dentist. If pain is severe, worsens over time, or does not subside after a couple of weeks, professional evaluation is necessary. Persistent sensitivity, especially to pressure, or pain when biting down, could indicate an ill-fitting crown or another underlying problem.
Other symptoms include swelling around the crowned tooth, which may signal an infection. A fever accompanying pain is also concerning. If the crown feels loose or becomes displaced, or if there is persistent bleeding, seek dental attention promptly.